Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Trace Stafford, DO

Individual provider Surgery Physician · NPI 1356757991

Michael Trace Stafford, DO is a General Surgery in Brewton, Alabama. Graduated from West Virginia School of Osteopathic Medicine in 2014, 12 years ago. Practices with Dw McMillan Surgical Group LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
12
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
AL
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1123 Belleville Ave
Brewton, AL 36426-1505
Phone: (251) 867-8001
Fax: (251) 867-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DO.2013 (AL)

Record details

NPI number1356757991
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address1123 Belleville Ave, Brewton, AL 36426-1505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Dw McMillan Surgical Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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